Surgery Today

, Volume 36, Issue 9, pp 823–826 | Cite as

Tracheobronchial Rupture due to Blunt Chest Trauma: Report of a Case

  • Meltem Bingol-Kologlu
  • Mine Fedakar
  • Aydin Yagmurlu
  • Suat Fitoz
  • Huseyin Dindar
  • I. Haluk Gokcora
Case Reports

Abstract

Tracheobronchial injuries following blunt chest trauma are uncommon in children. The involvement of both the trachea and right main bronchus separately is highly unusual. We herein report the case of a 13-year-old boy who presented with both a tracheal and right main bronchial rupture following blunt chest trauma. While the tracheal laceration required a tracheotomy, a delayed repair of right main bronchial disruption was performed with a complete preservation of the right lung. The features of this uncommon entity are discussed, with special emphasis on early diagnosis and surgical management.

Key words

Tracheobronchial rupture Blunt chest trauma 

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References

  1. 1.
    Fette, A, Hollwarth, ME 2001Tracheobronchial injuries in childhood: review of two casesJ Pediatr Surg365213PubMedCrossRefGoogle Scholar
  2. 2.
    Gabor, S, Renner, H, Pinter, H, Sankin, O, Maier, A, Tomaselli, F,  et al. 2001Indications for surgery in tracheobronchial rupturesEur J Cardiothorac Surg20399404PubMedCrossRefGoogle Scholar
  3. 3.
    Gaebler, C, Mueller, M, Schramm, W, Eckersberger, F, Vecsei, V 1996Tracheobronchial ruptures in childrenAm J Emerg Med1427984PubMedCrossRefGoogle Scholar
  4. 4.
    Kaptanoglu, M, Dogan, K, Nadir, A, Gonlugur, U, Akkurt, I, Seyfikli, Z,  et al. 2002Tracheobronchial rupture: a considerable risk for young teenagersInt J Pediatr Otorhinolaryngol621238PubMedCrossRefGoogle Scholar
  5. 5.
    Kiser, AC, O'Brien, SM, Detterbeck, FC 2001Blunt tracheobronchial injuries: treatment and outcomesAnn Thorac Surg71205965PubMedCrossRefGoogle Scholar
  6. 6.
    Perchinsky, M, Long, W, Rosoff, J, Campbell, TJ 1994Traumatic rupture of the tracheobronchial tree in a 2 year oldJ Pediatr Surg2915489PubMedCrossRefGoogle Scholar
  7. 7.
    Singh, N, Narasimhan, KL, Rao, KLN, Katariya, S 1999Bronchial distruption after blunt chest traumaJ Trauma469624PubMedGoogle Scholar
  8. 8.
    Slimane, MA, Becmeur, F, Aubert, D, Bachy, B, Varlet, F, Chavrier, Y,  et al. 1999Tracheobronchial ruptures from blunt thoracic trauma in childrenJ Pediatr Surg34184750PubMedCrossRefGoogle Scholar
  9. 9.
    Becmeur, F, Donato, L, Horta-Geraud, P, Ph, Fraysse, Schwaab, C, Carrenard, C,  et al. 2000Rupture of the airways after blunt chest trauma in two childrenEur J Pediatr Surg101335PubMedGoogle Scholar
  10. 10.
    Epelman, M, Ofer, A, Klein, Y, Best, LH, Guralnik, L, Bentur, L,  et al. 2002CT diagnosis of traumatic bronchial rupture in childrenPediatr Radiol3288891PubMedCrossRefGoogle Scholar
  11. 11.
    Nishiumi, N, Maitani, F, Yamada, S, Kaga, K, Iwasaki, M, Inokuchi, S,  et al. 2002Chest radiography assessment of tracheobronchial disruption associated with blunt chest traumaJ Trauma533727PubMedCrossRefGoogle Scholar
  12. 12.
    Wintermark, M, Schnyder, P, Wicky, S 2001Blunt traumatic rupture of a main stem bronchus. Spiral CT demonstration of “fallen lung” signEur Radiol1140941PubMedCrossRefGoogle Scholar
  13. 13.
    Van Hise, ML, Primack, SL, Israel, RS, Muller, NL 1998CT in blunt chest trauma: indications and limitationsRadiographics18107184PubMedGoogle Scholar
  14. 14.
    McCarthy, JF, Claffey, LP, O'Donovan, F, Guiney, EJ, Luke, DA 1996Emergency sleeve lobectomy after blunt chest trauma in a childJ Trauma418924PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Meltem Bingol-Kologlu
    • 1
  • Mine Fedakar
    • 1
  • Aydin Yagmurlu
    • 1
  • Suat Fitoz
    • 2
  • Huseyin Dindar
    • 1
  • I. Haluk Gokcora
    • 1
  1. 1.Department of Pediatric Surgery, Faculty of MedicineAnkara UniversityAnkaraTurkey
  2. 2.Department of Radiology, Faculty of MedicineAnkara UniversityAnkaraTurkey

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